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DELAWARE INTEGRATIVE HEALTHCARE LLC NPI 1174297386


NPI Information

NPI: 1174297386
Provider Name: DELAWARE INTEGRATIVE HEALTHCARE, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 08D2182886

Address:
686 N DUPONT BLVD
MILFORD, DE
ZIP 19963
Phone: (302) 503-7767
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DELAWARE INTEGRATIVE HEALTHCARE, LLC is a general practice in Milford, DE. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DELAWARE INTEGRATIVE HEALTHCARE, LLC NPI is 1174297386. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

686 N DUPONT BLVD
MILFORD, DE
ZIP 19963-002
Phone: (302) 503-7767

The provider's authorized official is Trevor Kent Ennis .
The authorized official title is Owner and has the following contact phone number (302) 376-5830.

The CLIA number assigned to this NPI record is 08D2182886 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2021 and was last updated on 8/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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